- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.49 / $8.88 / $59.61
| Facility | | $3.49 | $8.88 | $59.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.16 / $3.29 / $4.38
| Professional | | $2.16 | $3.29 | $4.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.76 / $1.76 / $99.00
| Professional | | $1.76 | $1.76 | $99.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $3.67 / $9.53
| Facility | | $3.67 | $3.67 | $9.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.77 / $2.22 / $8.27
| Professional | | $1.77 | $2.22 | $8.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.20 / $3.67 / $3.67
| Facility | | $2.20 | $3.67 | $3.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.68 / $3.67 / $3.67
| Professional | | $2.68 | $3.67 | $3.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.56 / $7.77 / $38.96
| Facility | | $2.56 | $7.77 | $38.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.82 / $4.01 / $25.70
| Professional | | $2.82 | $4.01 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.50 / $5.60 / $332.00
| Facility | | $3.50 | $5.60 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.68 / $2.20 / $6.72
| Professional | | $1.68 | $2.20 | $6.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.67 / $3.67 / $3.67
| Facility | | $3.67 | $3.67 | $3.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $3.67 / $4.73
| Professional | | $3.23 | $3.67 | $4.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.84 / $1.84 / $2.94
| Professional | | $1.84 | $1.84 | $2.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.89 / $10.10 / $34.85
| Facility | | $2.89 | $10.10 | $34.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.66 / $9.36 / $51.08
| Facility | | $4.66 | $9.36 | $51.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.94 / $5.04 / $7.56
| Professional | | $2.94 | $5.04 | $7.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.54 / $2.20 / $5.69
| Professional | | $1.54 | $2.20 | $5.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.22 / $4.22 / $13.50
| Facility | | $4.22 | $4.22 | $13.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.23 / $4.12 / $4.86
| Professional | | $3.23 | $4.12 | $4.86 |